MENTAL HEALTH FINAL EXAM (NCLEX-STYLE 50 QUESTIONS)
QUESTIONS AND ANSWERS
2025-2026 update
A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t death o
a beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the nurse interpret th
behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness - ANS>>D
Which of the following is an immediate physical response associated with fight or flight? (Select all tha
apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed - ANS>>B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be mos
concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea - ANS>>A
A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriat
response by the nurse?
, A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?" - ANS>>D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family asks th
nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease" - ANS>>B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client tells th
nurse, "I don't have a problem. My wife made me come here." Which defense mechanism does the nurs
interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial - ANS>>B
An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that I feel lik
giving up." It is most important for the nurse to assess the client for which of the following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings - ANS>>B
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the clien
that disulfiram will have which action?
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed - ANS>>D
QUESTIONS AND ANSWERS
2025-2026 update
A nurse is assessing a client who, over the past 3 years has experienced feelings of sadness r/t death o
a beloved aunt. Client barely eats, or sleeps and is socially isolative. How should the nurse interpret th
behavior?
A. Clients functional impairment indicates a need for psychiatric commitment
B. Clients behaviors are part of normal grief process
C. Clients behaviors are not congruent with cultural norms
D. Clients functional impairment indicates potential mental illness - ANS>>D
Which of the following is an immediate physical response associated with fight or flight? (Select all tha
apply)
A. Pupils constrict
B. Respiratory rate increases
C. Sweat gland secretions decrease
D. Renal and digestive system functions are suppressed - ANS>>B, D
The nurse is caring for a client who is experiencing alcohol withdrawal. The nurse would be mos
concerned if the client exhibited which of the following?
A. Hallucinations
B. Nervousness
C. Diaphoresis
D. Nausea - ANS>>A
A client asks a nurse not to tell his parents about his alcohol problem. What is the most appropriat
response by the nurse?
, A. "How can you not tell them? Is that being honest?"
B. "Don't you think you'll need to tell them someday?"
C. "Do alcohol problems run in either side of your family?"
D. "What do you think will happen if you tell your parents?" - ANS>>D
A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client's family asks th
nurse about the medication. What is the best response by the nurse?
A. "Short-term use of lorazepam can lead to dependence"
B. "The lorazepam will reduce the symptoms of withdrawal"
C. "The lorazepam will make him forget about symptoms of withdrawal"
D. "The lorazepam will also help with his heart disease" - ANS>>B
A nurse is caring for a client undergoing treatment for acute alcohol dependence. The client tells th
nurse, "I don't have a problem. My wife made me come here." Which defense mechanism does the nurs
interpret the client's statement as representing?
A. Projection and suppression
B. Denial and rationalization
C. Rationalization and repression
D. Suppression and denial - ANS>>B
An alcoholic client tells the nurse, "I feel so depressed about what I've done to my family that I feel lik
giving up." It is most important for the nurse to assess the client for which of the following?
A. Family support
B. A plan for self-harm
C. A sponsor for the client
D. Other ambivalent feelings - ANS>>B
A healthcare provider prescribes disulfiram for a client who abuses alcohol. The nurse teaches the clien
that disulfiram will have which action?
A. Affect short-term memory
B. Permit a healthier lifestyle
C. Allow the client to tolerate small amounts of alcohol
D. Cause a severe adverse reaction if alcohol is consumed - ANS>>D
